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General NPI Number Information
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NPI Number | 1306331509
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Entity Type | Organization
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Legal Business Name | NATIVE AMERICAN CONNECTIONS, INC.
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 337 E VIRGINIA AVE BLDG B
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City | PHOENIX
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State | AZ
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Zip | 85004-1220
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Country | US
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Telephone | 602-266-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 N 3RD ST
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City | PHOENIX
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State | AZ
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Zip | 85012-2682
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Country | US
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Telephone | 602-254-3247
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JOHN GODFREY
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Credential |
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Telephone | 602-688-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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